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Advanced Imaging of Children in the ED: Ultrasound, CT, and MRI

PEMBlog

Learning Objectives Demonstrate the ability to use shared decision-making strategies when discussing imaging options with families of pediatric patients presenting to the Emergency Department. Optimizing Advanced Imaging of the Pediatric Patient in the Emergency Department: Policy Statement. Pediatrics. 2024;154(1):e2024066854.

Families 101
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Music as Medicine: Jenny Chen, Tyler Jorgensen, & Theresa Allison

GeriPal

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. Jenny reached out to us because she plays music regularly for her patients, and she said, you should do a podcast about music. And I performed for many palliative patients, and that’s when I started to understand.

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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it.

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PC for People Experiencing Homelessness: Naheed Dosani

GeriPal

-Alex End Well Talk [link] Resources on the PEACH Program Program Review Paper A recent publication in Longwoods Healthcare Quarterly reviewing the PEACH model. Michael’s Hospital in the Department of Family and Community Medicine. The social determinants of health and what community well being was a big part of.

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How to discuss stopping screening: Mara Schonberg

GeriPal

Mara Schonberg is associate professor of medicine at Beth Israel Deaconess Medical Center and Harvard Medical School. So that would be palatable to the community that I could look at, whether we were over-screening those 80 and older. Do you think most patients know that? Eric: Alex, who do we have with us today? Mara: Yeah.

Screening 100
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Hospital-at-Home: Bruce Leff and Tacara Soones

GeriPal

We talk with Bruce Leff and Tacara Soones about the hospital-at-home movement, which has been shown to reduce costs, improve outcomes and improve the patient experience. JAGS Hospital-at-Home Interventions vs In-Hospital Stay for Patients With Chronic Disease Who Present to the Emergency Department: A Systematic Review and Meta-analysis.

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What Lessons Have We Learned from the First COVID Surges? Jim Wright & Darrell Owens

GeriPal

Two-thirds of the patients in the home now have COVID-19. Seventeen of your patients are dead. The other physicians who previously saw patients in the nursing home are no longer coming to your facility because you have COVID positive patients. 84 of the death certificates, I signed; that they were my patients.